LA Care Commercial: disclosed hospital rates

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Based on the published hospital price files, LA Care Commercial appears in disclosed negotiated rates across 1 hospital and 196 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

196 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
"Silver Nitrate Applicator 6""" Inpatient	UCLA West Valley Medical Center	12165010001 NDC	$165	$90.75	$34.65 – $165	—
1ST PSYC COLLAB CARE MGMT Outpatient	UCLA West Valley Medical Center	99492 HCPCS	—	—	$118 – $282	—
2019-ncov diagnostic p Outpatient	UCLA West Valley Medical Center	U0001 HCPCS	—	—	$35.91 – $86.21	—
2d cephal radio image Outpatient	UCLA West Valley Medical Center	D0702 HCPCS	—	—	$112 – $269	—
2d cephalometric image Outpatient	UCLA West Valley Medical Center	D0340 HCPCS	—	—	$112 – $269	—
2d oral/facial photo image Outpatient	UCLA West Valley Medical Center	D0703 HCPCS	—	—	$112 – $269	—
2d tee w or w/o fol w/con,in Outpatient	UCLA West Valley Medical Center	C8925 HCPCS	—	—	$1,004 – $2,409	—
2d tte w or w/o fol w/con,co Outpatient	UCLA West Valley Medical Center	C8923 HCPCS	—	—	$1,004 – $2,409	—
3-D RADIOTHERAPY PLAN Outpatient	UCLA West Valley Medical Center	77295 HCPCS	—	—	$430 – $4,172	—
365 d implant glucose sensor Outpatient	UCLA West Valley Medical Center	G0564 HCPCS	—	—	$3,251 – $5,163	—
3d anat seg imaging preop Outpatient	UCLA West Valley Medical Center	C8001 HCPCS	—	—	$112 – $477	—
3D CNTR SIMULA TRGT LVR LES Outpatient	UCLA West Valley Medical Center	0944T HCPCS	—	—	$307 – $737	—
Abacavir 300 MG Tablet Inpatient	UCLA West Valley Medical Center	00378410591 NDC	$116	$63.80	$24.36 – $116	—
Abatacept injection Outpatient	UCLA West Valley Medical Center	J0129 HCPCS	—	—	$41.21 – $117	—
ABD PARACENTESIS Outpatient	UCLA West Valley Medical Center	49082 HCPCS	—	—	$1,167 – $2,859	—
ABD PARACENTESIS W/IMAGING Outpatient	UCLA West Valley Medical Center	49083 HCPCS	—	—	$1,167 – $2,859	—
ABLATE BONE TUMOR(S) PERQ Outpatient	UCLA West Valley Medical Center	20982 HCPCS	—	—	$9,077 – $39,237	—
ABLATE INF TURBINATE SUBMUC Outpatient	UCLA West Valley Medical Center	30802 HCPCS	—	—	$1,882 – $4,517	—
ABLATE INF TURBINATE SUPERF Outpatient	UCLA West Valley Medical Center	30801 HCPCS	—	—	$1,882 – $4,517	—
ABLATE PULM TUMOR PERQ CRYBL Outpatient	UCLA West Valley Medical Center	32994 HCPCS	—	—	$13,229 – $31,748	—
ABLATE PULM TUMOR PERQ RF Outpatient	UCLA West Valley Medical Center	32998 HCPCS	—	—	$7,413 – $17,792	—
ABLT TRURL PRST8 TIS TRNSDCR Outpatient	UCLA West Valley Medical Center	55882 HCPCS	—	—	$16,508 – $39,620	—
ABLTJ 1/+THYR NDUL 1LOBE PRQ Outpatient	UCLA West Valley Medical Center	60660 HCPCS	—	—	$2,059 – $4,941	—
ABLTJ B9 THYR NDUL PERQ LASR Outpatient	UCLA West Valley Medical Center	0673T HCPCS	—	—	$2,059 – $4,941	—
ABLTJ MAL BRST TUM PERQ CRTX Outpatient	UCLA West Valley Medical Center	0581T HCPCS	—	—	$4,865 – $11,677	—